Prioprioception and Cerebellar Flashcards
if patient falls with eyes closed only
dorsal column pathology
patient falls with eyes open and closed
cerebellar deficit and/or vestibular mechanism deficit
these were a part of what test
romberg test
if patient takes a step, the findings are abnormal,
problem will be on that side
hopping on one foot can show the same results as romberg
takes step to maintain postures or falls
- falls with eyes closed only- dorsal column path
- falls with eyes open and closed- cerebellar deficit and/or vestibular mechanism deficit
finger to nose or finger to finger: what is uncoordinated movement called?
Also with finger to nose to finger
dyssynergia
what is the inaccuracy in measuring distance in finger to nose test
dysmetria
hell-to-shin
should see smooth an accurate movement
testing the ability to perform rapid alternating movement
patting the knees, forfinger to thumb, pronation/supination of hands rapidly
diadochokinesia
performing actions properly
dysdiadochokinesia
inability to performs actions properly: indicates possible cerebellar dysfunction
holmes rebound phenomenon
flex the forearm against dr strength, should have “check reflex” when dr releases the resistance
“dont hit yourself holmes”
tandem gait
heel to toe walking in a line
joint position test
dr grabs the lateral sides of a single digit of patient, dr then flexes or extension the digit and patient must identify the movement with eyes closed.
vibration
start with placing on medial malleolus (for lower extremity)—gracilis!
begin with wrist for upper extremity (cunneatus)
deep touch…what part of spinal cord
what is a positive test?
dorsal column
loss of pain sensation in the tissue
